Gabriel Neal Bush, MSW, LMSW
Individual provider Active NPI Mental Health Counselor · Montpelier, ID
NPI 1225928898 · NPPES record last updated Jul 7, 2025
Key facts
- NPI
- 1225928898
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 4371269 (ID)
- Practice address
- 455 Washington St Ste 2
Montpelier, ID 83254-1600 - Phone
- (208) 847-4464
- Fax
- (208) 847-3093
- NPI assigned
- Jul 7, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4371269 | ID | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bear Lake County Memorial Hospital | Past | Accepting new patients | |
| Bear Lake County Memorial Hospital | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 4371269 | ID | Yes |
Addresses
Primary practice location
455 Washington St Ste 2
Montpelier, ID 83254-1600
Mailing address
455 Washington St Ste 2
Montpelier, ID 83254-1600
Phone (208) 847-4464
Other providers in Montpelier, ID
- Larry David Bomsta
- Joshua Seth Bowman
- Broulims Supermarkets, LLC
- Robert Wayne Brown
- Justin Richard Brunner
- Alex Michael Carr
- Bonnie Colleen Caywood
- Clay I. Campbell M.D.,P.C.
- Complete Health and Wellness
- Peter Melvin Crane
All providers in Montpelier, ID · Mental Health Counselor in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.